Postpartum weight change and hospital readmissions

Abstract Objective: To evaluate the associations of pregestational BMI, gestational weight gain (GWG) and breast-feeding at 1 month postpartum with four patterns of weight change during the first year after delivery: postpartum weight retention (PPWR), postpartum weight gain (PPWG), postpartum weight retention + gain (PPWR + WG) and return to pregestational weight. Design: In this secondary analysis of a prospective study, we categorised postpartum weight change into four patterns using pregestational weight and weights at 1, 6 and 12 months postpartum. We evaluated their associations with pregestational BMI, GWG and breast-feeding using multinomial logistic regression. Results are presented as relative risk ratios (RRR) and 95 % CI. Setting: Mexico City. Participants: Women participating in the Programming Research in Obesity, Growth, Environment and Social Stressors pregnancy cohort. Results: Five hundred women were included (53 % of the cohort). Most women returned to their pregestational weight by 1 year postpartum (57 %); 8 % experienced PPWR, 14 % PPWG and 21 % PPWR + WG. Compared with normal weight, pregestational overweight (RRR 2·5, 95 % CI 1·3, 4·8) and obesity (RRR 2·2, 95 % CI 1·0, 4·7) were associated with a higher risk of PPWG. Exclusive breast-feeding, compared with no breast-feeding, was associated with a lower risk of PPWR (RRR 0·3, 95 % CI 0·1, 0·9). Excessive GWG, compared with adequate, was associated with a higher risk of PPWR (RRR 3·3, 95 % CI 1·6, 6·9) and PPWR + WG (RRR 2·4, 95 % CI 1·4, 4·2). Conclusions: Targeting women with pregestational overweight or obesity and excessive GWG, as well as promoting breast-feeding, may impact the pattern of weight change after delivery and long-term women’s health.

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Gestational and Postpartum Weight Change Patterns in Mothers with Eating Disorders

European Eating Disorders Review ◽

10.1002/erv.2314 ◽

2014 ◽

Vol 22 (6) ◽

pp. 397-404 ◽

Cited By ~ 6

Author(s):

Stephanie C. Zerwas ◽

Ann Von Holle ◽

Eliana M. Perrin ◽

Asheley Cockrell Skinner ◽

Lauren Reba-Harrelson ◽

...

Keyword(s):

Eating Disorders ◽

Weight Change ◽

Postpartum Weight

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Breastfeeding and postpartum weight change: a systematic review

Proceedings of The Nutrition Society ◽

10.1017/s0029665112003175 ◽

2012 ◽

Vol 71 (OCE3) ◽

Author(s):

G. Thu Nguyen ◽

S. Dick ◽

J. M. Wallace

Keyword(s):

Systematic Review ◽

Weight Change ◽

Postpartum Weight

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Impact of Normal Postpartum Glucose Tolerance on Postpartum Weight Change in Women with Recent Gestational Diabetes Mellitus

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2016.08.057 ◽

2016 ◽

Vol 40 (5) ◽

pp. S19

Author(s):

Nabila Purno ◽

Tanja Durbic ◽

Kevin Thorpe ◽

Julia Lowe ◽

Joel Ray ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Glucose Tolerance ◽

Gestational Diabetes Mellitus ◽

Weight Change ◽

Postpartum Weight

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A Prospective Study of Relations Among Infant, Maternal, and Paternal Adiposity Indicators

Current Developments in Nutrition ◽

10.1093/cdn/nzaa054_100 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1028-1028

Author(s):

Leah Lipsky ◽

Myles Faith ◽

Tonja Nansel

Keyword(s):

Body Size ◽

Early Pregnancy ◽

Gestational Age ◽

Weight Change ◽

Birth Size ◽

Delivery Mode ◽

Pregnancy And Postpartum ◽

Postpartum Weight ◽

Infant Birth ◽

Maternal Bmi

Abstract Objectives This study examines relations of infant birth size and growth with maternal early pregnancy BMI, gestational weight gain (GWG), postpartum weight change and paternal body size. Methods Infant birth size (small for gestational age- SGA, <10th percentile and large for gestational age- LGA, >90th percentile) and weight-for-length z-scores (WFLz) were calculated from anthropometrics obtained at birth (n = 331), 6 weeks, 6 months and 12 months of age. Maternal early pregnancy BMI, GWG, % of GWG lost (%GWGL), and return to early pregnancy weight (EPW) were derived from height and weight measured from early pregnancy (mean ± SD = 9.9 ± 1.7 weeks gestation) through 12 months postpartum. Mothers reported father's baseline body size via Stunkard figure ratings. Logistic regressions and linear mixed models estimated relations of SGA, LGA and WFLz with parent weight indicators. Multiplicative interaction terms tested interactions of maternal BMI with pregnancy and postpartum weight change, and of paternal with maternal weight indicators. Analyses controlled for maternal height, demographics, child sex, gestational age at delivery, and delivery mode. Results LGA was positively associated with maternal BMI (OR = 1.10, 95%CI:1.05–1.16, P < 0.001) but not GWG. SGA was associated with lower odds of excessive GWG (OR = 0.24, 95%CI:0.07–0.79, P = 0.02) but was not associated with maternal BMI. Paternal body size was not associated with LGA or SGA. WFLz was positively associated with maternal BMI (β ± SE = 0.03 ± 0.09 P = 0.001), but not GWG, %GWGL, EPW, or paternal body size. However, WFLz was positively associated with GWG in mothers with low (<25) but not high (≥25) early pregnancy BMI (β ± SE interaction term = −0.004 ± 0.002, P = 0.04). Paternal body size did not modify associations of maternal with infant weight indicators. Conclusions Maternal BMI was consistently associated with birth size and infant adiposity development, and associations were not modified by paternal body size. Whether pre-pregnancy interventions are more effective than pregnancy interventions for reducing offspring overweight in women with high BMI is an important area of future investigation. Funding Sources This research was supported by the NICHD Intramural Research Program.

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